{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:55:55Z","timestamp":1781715355874,"version":"3.54.5"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This report details a rare splenic rupture following left video-assisted thoracoscopic lobectomy in a 50-year-old male. Intraoperative tachycardia (78\u00a0\u2192\u00a0110\u00a0bpm) and postoperative refractory hypotension (56\/33\u00a0mmHg) progressed to hemorrhagic shock (Hb 57\u00a0g\/L) at 90\u00a0min post-op. E-FAST confirmed splenic rupture with hemoperitoneum, leading to emergent splenectomy for a 3-cm diaphragmatic surface laceration (3000\u00a0mL blood loss). Unique features include: (i) Traction-mediated injury despite intact diaphragm; (ii) Diagnostic delay from nonspecific early signs. This case underscores the need for vigilance regarding remote organ injury in minimally invasive thoracic surgery, advocating systematic protocols to manage this lethal complication.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf240","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T03:57:45Z","timestamp":1753675065000},"source":"Crossref","is-referenced-by-count":1,"title":["Splenic rupture after video-assisted thoracoscopic lobectomy: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Xibei","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Division of Life Science and Medicine, The First Affiliated Hospital of USTC (Anhui Provincial Hospital), University of Science and Technology of China , Hefei, Anhui 230036 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huixiang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Division of Life Science and Medicine, The First Affiliated Hospital of USTC (Anhui Provincial Hospital), University of Science and Technology of China , Hefei, Anhui 230036 ,","place":["China"]},{"name":"Department of Anesthesiology, Anhui Chest Hospital , Hefei, Anhui 230001 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhu","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Division of Life Science and Medicine, The First Affiliated Hospital of USTC (Anhui Provincial Hospital), University of Science and Technology of China , Hefei, Anhui 230036 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"2025072800214566600_ref1","doi-asserted-by":"publisher","first-page":"S78","DOI":"10.1016\/j.ijsu.2008.12.014","article-title":"Peri-operative complications of video-assisted thoracoscopic surgery 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